行为改变为导向的健康教育在老年阴道炎患者治疗中的应用观察

Observation on the application effect of behavior change-oriented health education in the treatment of elderly patients with vaginitis

目的探讨以行为改变为导向的健康教育在老年阴道炎患者治疗中的临床效果,为其治疗提供方法。方法选取2019年1月-2020年1月在盘锦市中心医院就诊的老年阴道炎患者160例,按数字表法随机分为观察组(n=80)和对照组(n=80)。对照组采用常规健康教育模式,观察组采用以行为改变为导向的健康教育模式。于干预前和干预8周,采用自制阴道炎健康知识问卷调查表对2组患者进行评分;检测并比较2组的炎性因子[白细胞介素-6、8(IL-6、IL-8)、肿瘤坏死因子-α(TNF-α)]表达水平;比较干预后2组的阴道清洁度和复发率。结果干预8周后,2组阴道炎知识认知度及阴道炎用药认知度评分均明显高于同组治疗前(P<0.05),且观察组评分均明显高于对照组(P<0.05);阴道炎性因子IL-6、IL-8、TNF-α表达水平及阴道pH值、阴道黏膜、阴道清洁度评分均明显低于同组干预前(P<0.05),且观察组上述指标水平显著低于对照组(P<0.05);观察组复发率明显低于对照组(P<0.05)。干预后,观察组阴道清洁度明显优于对照组(P<0.05)。结论以行为改变为导向的健康教育可有效提高老年阴道炎患者个体健康知识和用药认知度水平,改善临床症状,抗炎效果好,降低复发率,具有一定的临床应用价值。

Objective To explore the clinical effect of behavioral change-oriented health education in the treatment of elderly patients with vaginitis,and to provide a method for the treatment of the disease.Methods 160 elderly patients with vaginitis treated in Central Hospital of Panjin City from January 2019 to January 2020 were selected and divided into ob-servation group(n=80)and control group(n=80)according to random number table method.The control group adopted the routine health education model,and the observation group adopted the behavior change-oriented health education model.Before and 8 weeks after intervention,the patients'related knowledge was scored by self-made Vaginitis Health Knowledge Questionnaire.The expression levels of inflammatory factors[interleukin-6,8(IL-6,IL-8),tumor necrosis factor-α(TNF-α)]were detected and compared between the two groups.The vaginal cleanliness and recurrence rate of the two groups after intervention were compared.Results After 8 weeks of intervention,the scores of vaginitis knowledge awareness and vaginitis medication awareness of the two groups were significantly higher than those of the same group before treatment(P<0.05),and the scores of the observation group were significantly higher than those of the control group(P<0.05);The vaginal in-flammatory factors(IL-6,IL-8,TNF-α)expression levels,vaginal pH,vaginal mucosa,and vaginal cleanliness scores were all significantly lower than those before the intervention of the same group(P<0.05),and the above-mentioned index levels of the observation group were significantly lower than those the control group(P<0.05).The recurrence rate of the observation group was significantly lower than that of the control group(P<0.05).After intervention,the vaginal cleanliness of the observation group was significantly better than that of the control group(P<0.05).Conclusion Behavior change-oriented health education can effectively improve the health knowledge and medication awareness of elderly patients with va-ginitis,improve their clinical symptoms,have good anti-inflammatory effects,and reduce recurrence rates.It has certain clinical application value.